Individual
KATRINA PAULINE HANSEN
Active
Individual
KATRINA PAULINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101025576
MI
207N00000X
Dermatology Physician
Primary
C2-0024069
DE
390200000X
Student in an Organized Health Care Education/Training Program
5151013490
MI
Other
Enumeration date
03/22/2018
Last updated
05/05/2025
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